Organization
LIFECARE ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAEL ELZENY (CEO)
(313) 318-8448
Entity
Organization
Contact information
Practice address
29125 BUCKINGHAM ST STE 2A, LIVONIA, MI 48154-4480
(734) 744-4339
Mailing address
427 SANDALWOOD RD, CANTON, MI 48188-3028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/28/2025
Last updated
09/23/2025
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